Provider Credentialing

Organization: One Behavioral Health & Alara Healthcare
Location: Wapda Town, Lahore

One Behavioral Health and Alara Healthcare provide high-quality outpatient and inpatient behavioral health services for adults and children across the Houston area. As our organization grows, we are seeking a highly organized and detail-oriented Credentialing Specialist to ensure provider compliance, support smooth healthcare operations, and maintain high standards of patient care.

Role Overview

As a Credentialing Specialist, you will manage the full lifecycle of provider credentialing and re-credentialing across multiple networks and platforms. Your attention to detail, proactive approach, and follow-through will ensure providers remain compliant with payer, regulatory, and hospital requirements, directly supporting efficient billing, timely authorizations, and quality patient care.

Key ResponsibilitiesCredentialing & Compliance

• Maintain and update provider credentialing files for commercial and government payers.
• Manage CAQH profiles and ensure compliance with CMS and payer-specific standards.
• Process initial credentialing and re-credentialing applications for Medicare, Medicaid, and private insurers.
• Handle applications and renewals for professional licenses, DEA registration, and controlled substance permits.
• Complete government and regulatory revalidation processes within required timelines.
• Coordinate hospital credentialing, maintain provider privileges, and manage ongoing affiliations.

Collaboration & Support

• Work closely with the Revenue Cycle Director and Billing Team to resolve credentialing-related denials and authorization issues.
• Ensure provider information is accurate across CAQH, PECOS, NPPES, CMS databases, and internal systems.
• Maintain an internal credentialing grid with provider credentials, renewal dates, and login details.
• Provide administrative support for audits, compliance checks, and related documentation as required.

Ideal Candidate Profile

• Strong knowledge of healthcare credentialing standards, payer requirements, and regulatory compliance.
• Excellent organizational skills with meticulous attention to detail and accuracy.
• Experience with credentialing platforms such as CAQH, PECOS, and NPPES.
• Ability to manage multiple tasks independently while collaborating effectively with internal teams.

Job Type: Full-time

Pay: Rs45,000.00 - Rs70,000.00 per month

Ability to commute/relocate:

• Wapda Town: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Willing to work the night shift in Wapda Town, Lahore?

Experience:

• Medical Billing: 1 year (Preferred)

Language:

• English (Required)

Work Location: In person